Individual
AVERY FAITH MANSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4641 FULTON DR NW, CANTON, OH 44718-2384
(330) 433-6075
(330) 494-0299
Mailing address
4843 UNION AVE NE, HOMEWORTH, OH 44634-9637
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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